Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Facility		$236.62	$236.62	$236.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $286.31	Professional		$236.62	$236.62	$286.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $237.53 / $296.91	Professional		$236.62	$237.53	$296.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $399.89 / $473.24	Facility		$236.62	$399.89	$473.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $263.41 / $1,029.23	Professional		$236.62	$263.41	$1,029.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $279.74 / $304.14 / $395.99	Facility		$279.74	$304.14	$395.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $279.74 / $349.68 / $354.92	Professional		$279.74	$349.68	$354.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $258.94 / $258.94 / $258.94	Professional		$258.94	$258.94	$258.94
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $281.58	Professional		$236.62	$236.62	$281.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $258.94 / $258.94 / $258.94	Facility		$258.94	$258.94	$258.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $258.94 / $258.94 / $258.94	Professional		$258.94	$258.94	$258.94